Pinegger-O'Connor G, Bender-Götze C
MMW Munch Med Wochenschr. 1980 Apr 18;122(16):597-601.
The psychic stress of underage bone marrow donors was investigated in 4 characteristic cases. Three of the recipients suffered from acute leukemia. One female patient died 21 days after transplantation, a further patient had a high grade panmyelopathy. The significance of the surgical removal of bone marrow in the inner experience of the donor and his method of psychical working out are described with reference to the psychological findings. The younger donors deny the universal feeling of helplessness occurring in bone marrow transplantation by phantasies of grandeur and defend their aggressive impulses regressively, whereas in adolescents different modes of defence predominate more in keeping with reality.
对4例典型案例中的未成年骨髓捐献者的心理压力进行了调查。3名接受者患有急性白血病。1名女性患者在移植后21天死亡，另一名患者患有严重的全骨髓病。结合心理学研究结果，描述了骨髓手术摘除在捐献者内心体验中的意义及其心理应对方式。年幼的捐献者通过夸大幻想否认骨髓移植中普遍存在的无助感，并以退行的方式防御其攻击性冲动，而青少年则更多地采用与现实相符的不同防御方式。
